ID 97921
Title Transcription
ショクドウガン ジュツゴ ソウキ ニ キカン イカンロウ オ ガッペイ シタ 1レイ
Title Alternative
Tracheoesophageal fistula at early postoperative period of esophageal cancer : A case report
Author
Takechi, Katsuya Department of Surgery, Tokushima Red Cross Hospital
Okitsu, Hiroshi Department of Surgery, Tokushima Red Cross Hospital
Kuramoto, Shunsuke Department of Surgery, Tokushima Red Cross Hospital
Matsumoto, Daisuke Department of Surgery, Tokushima Red Cross Hospital
Furukawa, Takako Department of Surgery, Tokushima Red Cross Hospital
Matsuoka, Yutaka Department of Surgery, Tokushima Red Cross Hospital
Kihara, Ayumi Department of Surgery, Tokushima Red Cross Hospital
Tomibayashi, Atsushi Department of Surgery, Tokushima Red Cross Hospital
Yuasa, Yasuhiro Department of Surgery, Tokushima Red Cross Hospital
Ishikura, Hisashi Department of Surgery, Tokushima Red Cross Hospital
Kimura, Suguru Department of Surgery, Tokushima Red Cross Hospital
Sakata, Akihiro Department of Surgery, Tokushima Red Cross Hospital
Okitsu, Natsu Department of Surgery, TAOKA Hospital
Keywords
tracheoesophageal fistula
esophageal stent
nephrotic syndrome
Content Type
Journal Article
Description
The patient was a45-year-old man. He had suffered from nephrotic syndrome at time of his twenties and had steroid salvage treatment. But he retired the treatment by himself. Esophageal tumor was suspected at the screening, and he was referred to our hospital.
Preoperative diagnosis was the adenocarcinoma of the esophagogastric junction(cT2N0M0 stage Ⅱ).
Thoracoscopy assisted subtotal esophagectomy in prone position with D2dissection was performed. Gastric role was prepared in laparoscopic approach, and pulled up to the neck via posterior mediastinal route. Although early postoperative course was uneventful and esophageal fluoroscopy on the7th day showed no leakage, sudden dyspnea appeared on the8th day. CT examination and Bronchoscopy showed tracheoesophageal fistula. Unfortunately, the fistula didn’t get well, and we considered that it was difficult to close the fistula by only conservative treatment.
Esophageal covered stent was inserted on the56th day. After that, he could start ingestion intake and was discharged from hospital on the85th day. Now, he is being followed up in our hospital.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
68
Issue
1-2
Start Page
67
End Page
72
Sort Key
67
Published Date
2012-04-25
Remark
FullText File
language
jpn